Purpose: In supraglottic cancer, radiation therapy is used to preserve the laryngeal function but combined surgery and radiation therapy is required in advanced stage. The authors Present the results of radiation therapy alone and combined surgery Plus Postoperative radiation therapy for supraglottic cancer. Methods and Materials: A retrospective analysis was done for 43 patients with squamous cell carcinoma of the supraglottic larynx who were treated from Feburary 1982 to December 1991, in the Department of Radiation Oncology, Korea University Hospital. Patient distribution according to the AJCC staging system was as follows: I, 3($7.0\%$); II, 7($16.3\%$); III, 17($39.5\%$); IV, 16($37.2\%$). Patients' age ranged from 30 to 72 years(median 62). Follow up durations were from 21 to 137 months(median 27). Seventeen patients($39.5\%$) were treated by radiation therapy alone with radiation doses of 6840-7380 cGy and 26 patients($60.5\%$) were treated with surgery plus postoperative irradiation with doses of 5820-6660 cGy. Results: Overall five-year survival rate for all stage was $51.8\%$, with $100\%$ for Stage I and II, $47.3\%$ for Stage III, and $29.2\%$ for Stage III. The difference of the survival rate by stage was statistically significant(p=0.0152). Five-year survival rates were $100\%$ for locally confined tumor in the supraglottic larynx, $37.5\%$ for transglottic extension, $26.7\%$ for hypopharynx extension, and only two of 5 patients with both transglottic and hypopharynx extension were alive(p=0.0033). Five-year survival rates by neck node status were as follows: $55.0\%$ for NO, $64.3\%$ for N1, $50.0\%$ for N2, and all 2 of N3 were died of disease. Overall survival rate for radiation therapy alone group was $42.8\%$, and it was $56.7\%$ for surgery plus postoperative radiation therapy group with no statistically significant difference(p=0.5215). In Stage I and II, all Patients survived. In Stage III and IV, 5-year survival rate for radiation therapy alone group was $28.5\%$ and $43.4\%$ for surgery plus postoperative irradiation group(p=0.5103). Local control rate was $58.8\%$(10/17) for radiation therapy alone group and $73.1\%$ (19/26) for surgery plus postoperative irradiation group. Three patients from surgery plus postoperative radiation therapy group developed distant metastasis in lungs. Conclusion: Treatment results of radiation therapy alone was excellent in early stage supraglottic cancer. In advanced stage, even the difference was statistically not significant, the result of postoperative radiation therapy group was superior compared with radiation therapy alone group. Since 1992, concomitant chemoradiotherapy with hyperfractionated radiotherapy is being used to improve the result of the treatment and preserve the laryngeal function in advanced stage supraglottic cancer.
To establish a foundation to objectively interpret Chosun history, we construct people network of the Chosun dynasty. The network shows scale free network properties as if most social networks do. The people network is composed of 1,379 nodes and 3,874 links and its diameter is 14. To analysis of the network dynamics, whole network that is composed of 27 king networks were constructed by adding the first king, Taejo network to the second king, Jeongjong network and then continuously adding the next king networks. Interestingly, betweenness and closeness centralities were gradually decreased but stress centrality was drastically increased. These results indicate that information flow is gradually slowing and hub node position is more centrally oriented as growing the network. To elucidate key persons from the network, k-core and MCODE algorithms that can extract core or module structures from whole network were employed. It is a possible to obtain new insight and hidden information by analyzing network dynamics. Due to lack of the dynamic interacting data, there is a limit for network dynamic research. In spite of using concise data, this research provides us a possibility that annals of the Chosun dynasty are very useful historical data for analyzing network dynamics.
Inter-simple sequence repeat (I-SSR) markers were analyzed from diploid genomes of 95 nutmeg trees (Torreya nucifera Siev. et Zucc.) in 5 populations. A total of 62 I-SSR amplicons were observed and 7 of them were monomorphic in 95 individuals. DNA fingerprint of each tree was verified by pooling the observed I-SSR amplicons. Most of the genetic diversity was allocated within population (90.65%) and all the populations revealed similar level of I-SSR amplicon diversity within population. Degree of population differentiation (${\phi}_{ST}=9.35%$) was moderate on the basis of criteria obtained from isozyme analysis. Based on the results of the cluster analysis of UPGMA, genetic relationships among 5 populations were not coincided with the pattern of geographic distribution. Non-significant confidence interval at each node also suggests that all the nutmeg populations are genetically not much differentiated.
Kim, Soseul;Hong, Jeong Won;Cho, Woon-Dong;Moon, Yoo Ri;Yoon, Sang Soon;Kim, Min-Young;Hong, Kwon Pyo;Lee, Yong-Moon;Yi, Jae Hyuk;Ham, Young Jun;Rah, Hyung Chul;Kim, Seung Ryul;Song, Hyung Geun
IMMUNE NETWORK
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v.14
no.3
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pp.164-170
/
2014
JL1, a specific epitope on CD43, is a potential biomarker for the diagnosis of acute leukemia. Although qualitative assays for detecting leukemia-specific CD43 exist, there is a need to develop quantitative assays for the same. Here, we developed two novel monoclonal antibodies (mAbs), 2C8 and 8E10, recognizing different epitopes on CD43. These clones are capable of pairing with YG5, another mAb against JL1 epitope, because they were selectively obtained using sandwich ELISA. Antigens recognized by 2C8 and 8E10 were confirmed as CD43 by western blotting using the CD43-hFC recombinant protein. When expression on various leukemic cell lines was investigated, 2C8 and 8E10 displayed a disparity in the distribution of the epitope. Enzyme assays revealed that these mAbs recognized a sialic acid-dependent epitope on CD43. Using normal thymus and lymph node paraffin-embedded tissues, we confirmed a difference in the epitopes recognized by the two mAbs that was predicted based on the maturity of the cells in the tissue. In summary, we developed and characterized two mAbs, 2C8 and 8E10, which can be used with YG5 in a sandwich ELISA for detecting leukemia-specific CD43.
Journal of the Korean Association of Oral and Maxillofacial Surgeons
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v.32
no.4
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pp.334-347
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2006
The aim of this study is to evaluate the reasonableness of the medical fee on oral and maxillofacial surgery field according to surgeon's opinions and actual conditions. The medical fee has significant influence on hospital income, the supply and distribution of medical manpower, quality and facilities of medical services. Questionnaire survey was sent to 86 oral and maxillofacial surgeons who worked more than 3 years in general hospital. Among them, 25 doctors replied the 109 answers survey and the average of treatment time and physician work relative value on each category was calculated. And the health insurance cost (that has been applied since 2003) was compared with the questionnaire results. And finally we investigated items that health insurance system did not include in oral and maxillofacial field but actually performed in oral and maxillofacial surgery clinic. The result was that the medical fee did not properly reflect physician work relative value of actual treatments. In case of complicated extraction, work relative value needed 3.5 times enhancement of present value. For simple impacted tooth extraction 1.8 times, for impacted tooth extraction including odontomy 1.7 times, and for fully impacted tooth more than 2/3 of it located into the alveolar bone, 1.8 times enhancement needed. In respect of the present physician work relative value, hemimandibulectomy with neck lymph node dissection for the malignancy is appropriated as 3.3 times of open reduction and internal fixation for the mandibular fracture, but the questionnaire result showed 25 times discrepancy. In conclusion, this research shows the need for intervention that health insurance included items and legal relative medical value must act in union with treatment in clinic to reduce the imbalance between them.
This study investigates normative role model of the journalists under the changing environment. Firstly, this article explores what pressure the new media environment gives to the journalists in their routine of news production and distribution. These are stated from the angle of epistemological, professional and interactive pressure. Next, as a reference for the standard journalism in the age of mass media, the idea of Rhee Young-hee, a late journalist who won respects from many Korean journalists, is studied. His firm belief in the pursuit of hard facts, rigorous investigative writing and expertism are spelt out. Then, this study explores how, in real term, this pressure changes the journalistic value, norm and practices in the newsroom. Ten of Koran journalists are interviewed in order to get their idea about the emerging journalistic standards under the digital environment. From this in-depth interviews, it is conclued that the pursuit of hard fact, investigative writing, expertism of Rhee Young-hee are, nonetheless the change of the media technology, still effective and provide good reference points for the enhancement of the standard of journalism in Korea. However, it is also suggested that the methods to fulfil desirable journalism in the digital age should be different from that of the mass communication age. The interviewees make propose that the journalist, as a network node, news curator or coordinator, should actively interact with the audiences facilitating their enhanced potential as a news 'prosumer'(producer and consumer).
Journal of the Korea Society of Computer and Information
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v.18
no.6
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pp.29-36
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2013
In wireless sensor networks, energy is the most important consideration because the lifetime of the sensor node is limited by battery. Most of the existing energy efficient routing protocols use the minimum energy path to minimize energy consumption, which causes an unbalanced distribution of residual energy among nodes. As a result, the power of nodes on energy efficient paths is quickly depletes resulting in inactive. To solve these problems, a method to equalize the energy consumption of the nodes has been proposed, but do not consider the link error rate in the wireless environment. In this paper, we propose a uniform energy consumption of cluster-based multi-hop routing mechanism considering the residual energy and the link error rate. This mechanism reduces energy consumption caused by unnecessary retransmissions and distributes traffic evenly over the network because considering the link error rate. The simulation results compared to other mechanisms, the proposed mechanism is energy-efficient by reducing the number of retransmissions and activation time of all nodes involved in the network has been extended by using the energy balanced path.
The FUel Rod Analysis(FURA) code is developed using two-dimensional finite element methods for axisymmetric and plane stress analysis of fuel rod. It predicts the thermal and mechanical behavior of fuel rod during normal and load follow operations. To evaluate the exact temperature distribution and the inner gas pressure, the radial deformation of pellet and clad, the fission gas release are considered over the full-length of fuel rod. The thermal element equation is derived using Galerkin's techniques. The displacement element equation is derived using the principle of virtual works. The mechanical analysis can accommodate various components of strain: elastic, plastic, creep and thermal strain as well as strain due to swelling, relocation and densification. The 4-node quadratic isoparametric elements are adopted, and the geometric model is confined to a half-pellet-height region with the assumption that pellet-pellet interaction is symmetrical. The pellet cracking and crack healing, pellet-cladding interaction are modelled. The Newton-Raphson iteration with an implicit algorithm is applied to perform the analysis of non-linear material behavior accurately and stably. The pellet and cladding model has been compared with both analytical solutions and experimental results. The observed and predicted results are in good agreement. The general behavior of fuel rod is calculated by axisymmetric system and the cladding behavior against radial crack is used by plane stress system. The sensitivity of strain aging of PWR fuel cladding tube due to load following is evaluated in terms of linear power, load cycle frequency and amplitude.
The clinical significance of hepatic resection for gastric metastases is controversial, even though hepatic resection has been widely accepted as a modality for colorectal metastases. Very few patients with gastric hepatic metastases are good candidates for hepatic resection because of multiple bilateral metastases, extrahepatic disease, or advanced cancer progression, such as peritoneal dissemination or extensive lymph node metastases. Therefore, several authors have reported the clinical significance of hepatic resection for gastric metastases in a small number of patients. Considering the present results with previous reports. The number and distribution of tumors in hepatic metastases from gastric cancer was considered based on the present and previous reports. Several authors have reported significantly better survival in patients with metachronous metastasis than in those with synchronous disease. However, metachronous hepatic resection necessitates the dissection of adhesions between the pancreas, liver, and residual stomach to prepare for Pringle's maneuver. Patients with unilobar liver metastasis, and/or metastatic tumors <4 cm in diameter may be good candidates for hepatic resection. Synchronous metastasis is not a contraindication for hepatic resection. Most of the long-term survivors underwent anatomic hepatic resection with a sufficient resection margin. After hepatic resection, the most frequent site of recurrence was the remaining liver, which was associated with a high frequency of mortality within 2 years. A reasonable strategy for improvement in survival would be to prevent recurrence by means of adjuvant chemotherapy and careful follow-up studies.
The Transactions of The Korean Institute of Electrical Engineers
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v.60
no.3
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pp.639-647
/
2011
In this paper, we introduce a design methodology of data-centroid Radial Basis Function neural networks with extended polynomial function. The two underlying design mechanisms of such networks involve K-means clustering method and Particle Swarm Optimization(PSO). The proposed algorithm is based on K-means clustering method for efficient processing of data and the optimization of model was carried out using PSO. In this paper, as the connection weight of RBF neural networks, we are able to use four types of polynomials such as simplified, linear, quadratic, and modified quadratic. Using K-means clustering, the center values of Gaussian function as activation function are selected. And the PSO-based RBF neural networks results in a structurally optimized structure and comes with a higher level of flexibility than the one encountered in the conventional RBF neural networks. The PSO-based design procedure being applied at each node of RBF neural networks leads to the selection of preferred parameters with specific local characteristics (such as the number of input variables, a specific set of input variables, and the distribution constant value in activation function) available within the RBF neural networks. To evaluate the performance of the proposed data-centroid RBF neural network with extended polynomial function, the model is experimented with using the nonlinear process data(2-Dimensional synthetic data and Mackey-Glass time series process data) and the Machine Learning dataset(NOx emission process data in gas turbine plant, Automobile Miles per Gallon(MPG) data, and Boston housing data). For the characteristic analysis of the given entire dataset with non-linearity as well as the efficient construction and evaluation of the dynamic network model, the partition of the given entire dataset distinguishes between two cases of Division I(training dataset and testing dataset) and Division II(training dataset, validation dataset, and testing dataset). A comparative analysis shows that the proposed RBF neural networks produces model with higher accuracy as well as more superb predictive capability than other intelligent models presented previously.
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